Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $181.97	Facility		$25.70	$66.07	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $53.70	Professional		$20.89	$28.18	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $20.89	Professional		$9.55	$17.38	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $208.93	Facility		$46.77	$117.49	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $47.86	Professional		$5.01	$19.50	$47.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $52.48	Professional		$24.55	$35.48	$52.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $35.48	Facility		$34.67	$34.67	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $186.21	Facility		$38.90	$77.62	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $77.62	Professional		$19.95	$27.54	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Facility		$165.96	$165.96	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $41.69 / $107.15	Facility		$26.92	$41.69	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $28.18 / $43.65	Professional		$7.94	$28.18	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $56.23 / $123.03	Facility		$27.54	$56.23	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $74.13	Professional		$19.95	$32.36	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $35.48	Facility		$12.59	$14.79	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $29.51	Professional		$14.79	$20.42	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $35.48	Professional		$13.80	$29.51	$35.48